Effect of hearing aids on attention, memory, and auditory evoked potentials: A pragmatic, single-blinded, and randomised pilot clinical trial.

PURPOSE: To compare the effects of hearing aids and their technology levels (premium and basic) on attention, memory, brain response, and self-perceived benefit amongst individuals who were naïve to sound amplification. MATERIAL AND METHODS: A pragmatic, single-blinded, and randomised pilot clinical trial in three-parallel arms according to hearing aids technology: (a) premium; (b) basic; and (c) no amplification hearing devices. Participants were ≥60 years old with mild-to-moderate sensorineural symmetric hearing loss and naïve to sound amplification. We tested attention and memory skills, as well as brain response and self-perceived benefit before and after 12 weeks of using the hearing devices. The primary outcome was any improvement in the tests we performed. RESULTS: The participants who missed the follow-up (n = 2) were excluded from our final analysis. We ended up with 22 patients (A = 8, B = 6, and C = 8) who were 80.4 (±6.1) years old, predominantly female (63.63%), and poorly educated (3.8 ± 1.6 years). After the intervention, we observed differences in attention and memory scores (reverse counting, P < .01, 95% CI 2.2; 11.63; digit sequence repetition, P = .03, 95% CI -1.9; -0.05; delayed recall, P = .03, 95% CI -1.2; -0.05; recognition, P < .01, 95% CI -2.6; -0.45; and visual memory, P < .01, 95% CI -0.9; -0.15), but only reverse counting (A vs C, P < .01,95% CI 5.9; 20.55) and recognition (B vs C, P < .01, 95% CI -6.1; -0.88) were observed in pairwise comparisons. The difference in N1 wave latency (/g/ sound, P = .01,95% CI 2.1; 18.59) could not be confirmed in pairwise comparison. The self-perceived benefit questionnaire revealed no difference between groups A and B; the groups A and C differed in benefit (P < .01, 95% CI -2.2; -0.76), satisfaction (P = .02,95% CI -2.0;-0.21), residual participation restrictions (P = .01, 95% CI -2.9; -0.38), and quality of life (P = .03, 95% CI -1.4; -0.08); the groups B and C differed in benefit (P < .001, 95% CI -2.3; -0.96), and satisfaction (P = .01,95% CI -2.1; -0.29). CONCLUSION: In this study, premium and basic hearing aids impacted attention, memory, brain response, and self-perceived benefit similarly amongst individuals who were naïve to sound amplification after 12 weeks of using the hearing devices.

Can the indicators of chronic ethanol consumption be minimized by a continuous flaxseed intake?

The aim of this study was to evaluate the use of flaxseed in animals subjected to ethanol-induced hepatotoxicity. Twenty-four male rats were divided into four groups (n = 6): control group (CG) which received a control diet and water ad libitum; flaxseed group (FG) which received control diet with an addition of 25% flaxseed flour and water ad libitum; ethanol control group (ECG) which received control diet and a solution of 10% ethanol (v/v) as the only liquid source; and ethanol flaxseed group (EFG) which received control diet with an addition of 25% flaxseed flour and a solution of 10% ethanol (v/v) as the only liquid source. The animals were euthanized at 60 days, when blood was collected for biochemical analysis and liver was collected for histomorphometric analysis. Rats fed with diets containing flaxseed showed lower values of alkaline phosphatase (P = 0.020) and lower concentration of total bilirubin (P = 0.006), direct bilirubin (P = 0.013) and indirect bilirubin (P = 0.018) compared to ECG and EFG. The groups receiving flaxseed diets demonstrated higher expression of superoxide dismutase (SOD) enzyme (P < 0.001) than CG and ECG but did not affect thiobarbituric acid (TBARS) expression (P = 0.055). Regarding liver analysis, the ECG and EFG showed larger hepatocyte nuclei and paler cytoplasm than the groups who had not received ethanol, and less in fluid accumulation (oedema) in the cytoplasm than was seen in the FG and EFG livers. These latter two groups showed fewer fatty cells than was seen in the groups that had not been given flaxseed, so that the diagnosis of hepatic steatosis was not justified. In conclusion, therefore, this study showed that the indicators of ethanol chronic consumption can be reduced by the introduction of continuous flaxseed dietary intake.

Theoretical and Experimental Studies of the Controlled Release of Tetracycline Incorporated into Bioactive Glasses.

Several authors have studied the release profile of drugs incorporated in different devices. However, to the best of our knowledge, although many studies have been done on the release of tetracycline, in these release devices, no study has investigated if the released compound is actually the tetracycline, or, instead, a degraded product. This approach is exploited here. In this work, we analyse the influence of two drying methods on the tetracycline delivery behaviour of synthesised glasses using the sol-gel process. We compare the drying methods results using both theoretical models and practical essays, and analyse the chemical characteristic of the released product in order to verify if it remains tetracycline. Samples were freeze-dried or dried in an oven at 37°C and characterised by several methods such as Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), thermogravimetric analysis (TG), differential thermogravimetric analysis (DTG), differential thermal analyses (DTA) and gas adsorption analysis (BET). The released concentration of tetracycline hydrochloride was studied as a function of time, and it was measured by ultraviolet spectrophotometry in the tetracycline wavelength. The drug delivery profiles were reasonably consistent with a diffusion model analysis. In addition, we observed higher release rates for the freeze-dried compared to those dried in an oven at 37°C. This higher release can be attributed to larger pore size for the freeze-dried sample systems with tetracycline, which promoted more water penetration, improving the drug diffusion. The analysis of the solution obtained in the release tests using high-performance liquid chromatography- mass spectrometry (HPLC-MS) confirmed that tetracycline was being released.

Assessment of hearing threshold in adults with hearing loss using an automated system of cortical auditory evoked potential detection.

INTRODUCTION: The use of hearing aids by individuals with hearing loss brings a better quality of life. Access to and benefit from these devices may be compromised in patients who present difficulties or limitations in traditional behavioral audiological evaluation, such as newborns and small children, individuals with auditory neuropathy spectrum, autism, and intellectual deficits, and in adults and the elderly with dementia. These populations (or individuals) are unable to undergo a behavioral assessment, and generate a growing demand for objective methods to assess hearing. Cortical auditory evoked potentials have been used for decades to estimate hearing thresholds. Current technological advances have lead to the development of equipment that allows their clinical use, with features that enable greater accuracy, sensitivity, and specificity, and the possibility of automated detection, analysis, and recording of cortical responses. OBJECTIVE: To determine and correlate behavioral auditory thresholds with cortical auditory thresholds obtained from an automated response analysis technique. METHODS: The study included 52 adults, divided into two groups: 21 adults with moderate to severe hearing loss (study group); and 31 adults with normal hearing (control group). An automated system of detection, analysis, and recording of cortical responses (HEARLab®) was used to record the behavioral and cortical thresholds. The subjects remained awake in an acoustically treated environment. Altogether, 150 tone bursts at 500, 1000, 2000, and 4000Hz were presented through insert earphones in descending-ascending intensity. The lowest level at which the subject detected the sound stimulus was defined as the behavioral (hearing) threshold (BT). The lowest level at which a cortical response was observed was defined as the cortical electrophysiological threshold. These two responses were correlated using linear regression. RESULTS: The cortical electrophysiological threshold was, on average, 7.8dB higher than the behavioral for the group with hearing loss and, on average, 14.5dB higher for the group without hearing loss for all studied frequencies. CONCLUSION: The cortical electrophysiological thresholds obtained with the use of an automated response detection system were highly correlated with behavioral thresholds in the group of individuals with hearing loss.

The use of flaxseed flour during pregnancy and lactation reverses lower birth weight in offspring from diabetic mothers but averts the development during lactation.

UNLABELLED: Diabetes is a complication which occurring during gestation might substantially influence the development of offspring during fetal life and postnatally. Flaxseed is a source of omega-3, that the appropriate supply during gestation and lactation are determinant for a suitable perinatal growth and development. The present study aimed to assess beneficial effects of the use of flaxseed flour during pregnancy and lactation on body development from birth to weaning of offspring from diabetic mothers. METHODS: twelve rats from a total of eighteen were induced to diabetes by high-fat diet during four weeks, also receiving one lower dose of streptozotocin. After confirmation of diabetes (glucose>300 mg/dL), they were mated and when pregnancy was confirmed, they were divided in 3 groups: high-fat group (HFG), high-fat flaxseed flour group (HFFFG) and control group (CG), receiving high- fat diet, high-fat diet added flaxseed flour and control diet, respectively. They were fed this way during whole gestation and lactation. The body development of offspring was measured weekly since the first day after birth until weaning. RESULTS: At birth, the average body mass of offspring from diabetics mothers who received only high-fat diet was 23,6% lighter than body mass of offspring from non-diabetics mothers (p<0,05), while the animals from diabetic mothers who consumed flaxseed flour during pregnancy and lactation showed the same body mass than the control group. During all experiment HFFFG group showed decreased body mass (about 20%, p<0,05)in comparison with control group. CONCLUSION: The treatment with flaxseed flour was capable of avoiding lower birth weight in offspring from diabetic mothers. However, the consumption of flaxseed flour by mothers during lactation yielded decrease offspring weight at weaning.

La diabetes es una complicación que ocurre durante la gestación puede influir sustancialmente el desarrollo de las crías durante la vida fetal y postnatal. La linaza es una fuente de ácidos grasos omega-3, que la oferta apropiado durante la gestación y lactancia son determinantes para un adecuados crecimiento y desarrollo perinatal. Este estudio tuvo como objetivo evaluar los efectos beneficiosos del uso de la harina de linaza durante el embarazo y la lactancia en el desarrollo corporal desde el nacimiento hasta el destete de las crías de madres diabéticas. Métodos: Los doce ratas, de un total de dieciocho fueron inducidas a la diabetes con dieta alta en grasas durante cuatro semanas también recibir una dosis reducida de estreptozotocina. Después de la confirmación de la diabetes (glucosa> 300mg/dL), que fueron apareadas y cuando se confirmó el embarazo, fueron divididos en 3 grupos: grupo de alto contenido de grasa (HFG), grupo de alto contenido de grasa con harina de linaza (HFFFG) y grupo control (GC ), recibiendo la dieta alta en grasas, dieta alta en grasa añadida harina de linaza y dieta control, respectivamente. Fueron alimentados de esta manera durante toda la gestación y la lactancia. El el desarrollo corporal de las crías se midió semanalmente desde el primer día después de su nacimiento hasta el destete. Resultados: En el nacimiento, la masa corporal medio de las crías de madres diabéticas que recibieron sólo la dieta rica en grasas era 23,6% más ligero que la masa corporal de las crías de los no diabéticos madres (p.

Conformations, structural transitions and visible near-infrared absorption spectra of four-, five- and six-coordinated Cu(II) aqua complexes.

We have performed Car-Parrinello molecular dynamics simulations at ambient conditions for four-, five- and six-coordinated Cu(II) aqua complexes. The molecular geometry has been investigated in terms of Cu-O, Cu-H bond lengths and O-Cu-O bond angles and compared with earlier experimental measurement results and theoretical calculations. We find that the average Cu-O and Cu-H bond lengths increase with increasing coordination number. We have also observed relatively faster structural transition in the case of five-coordinated complex between trigonal bipyramidal and square pyramidal geometry. This result deviates from the findings of the earlier report (A. Pasquarello et al., Science, 2001, 291, 856) on copper(II) in aqueous solution and we attribute these differences to the neglect of solvent environment in our calculations. The averaged absorption spectra for the copper(II) aqua complexes have been computed using spin-restricted density functional linear response formalism taking 100 snap shots from a trajectory of 0.48 ps. We find that the calculated spectra are significantly different, showing clear features that distinguish each coordination model. Comparison with the experimentally reported absorption spectra is made wherever it is possible and the results obtained favor the distorted fivefold-coordination arrangement for the molecular structure of the Cu(II) ion in aqueous solution.

Efecto de la semilla de linaza (Linum Usitatissimum) en el crecimiento de ratas Wistar / Effect of flaxseed (Linum Usitatissimum) on the growth of Wistar rats

The protein quality of a flaxseed diet was evaluated by biological methods. Forty-eight recently weaned male Wistar rats with 21 days of life and average weight of 42 g were randomly divided in 4 groups (n=12) and were fed, respectively, with a diet based on flaxseed added with casein (flaxseed group), casein alone (control group), casein with bigger concentration of oil and fibers to be compared to the flaxseed diet (modified control group) and a diet free of protein (non protein group). Animal weight, food and protein consumption were registered every other day to obtain the values for the Protein Efficiency Ratio (PER), Food Efficiency Ratio and Net Protein Ratio (NPR). At the end of the experiment, the nutritional value of the flaxseed diet was inside the reference values for protein quality; however, it was not equivalent to the casein diet.

La calidad proteica de una dieta a base de linaza fue evaluada por medio de métodos biológicos. Fueron usados 48 Rattus norvegicus, Wistar, machos, con 21 días de vida, recién destetadas y con peso promedio de 42g. Los animales fueron divididos en 4 grupos (n=12) que recibieron, respectivamente, dieta a base de linaza adicionada de caseína, caseína, caseína con mayor concentración de aceite y fibras para equipararse a la dieta de linaza y dieta libre de proteína. Cada dos días fueron registrados el peso animal, el consumo de alimento y de proteína para aplicación de los métodos de evaluación biológica Razón de Eficiencia Proteica (PER), Coeficiente de Eficiencia Alimentaria (CEA) y Razón Proteica Neta (NPR). Al final del experimento, el valor nutricional de la dieta de linaza estuvo dentro de los valores de referencia de calidad proteica, pero no fue equivalente al de la dieta a base de caseína.

Density functional restricted-unrestricted approach for nonlinear properties: application to electron paramagnetic resonance parameters of square planar copper complexes.

The density functional restricted-unrestricted approach for treatments of spin polarization effects in molecular properties using spin restricted Kohn-Sham theory has been extended from linear to nonlinear properties. It is shown that the spin polarization contribution to a nonlinear property has the form of a quadratic response function that includes the zero-order Kohn-Sham operator, in analogy to the lower order case where the spin polarization correction to an expectation value has the form of a linear response function. The developed approach is used to formulate new schemes for computation of electronic g-tensors and hyperfine coupling constants, which include spin polarization effects within the framework of spin restricted Kohn-Sham theory. The proposed computational schemes are in the present work employed to study the spin polarization effects on electron paramagnetic resonance spin Hamiltonian parameters of square planar copper complexes. The obtained results indicate that spin polarization gives rise to sizable contributions to the hyperfine coupling tensor of copper in all investigated complexes, while the electronic g-tensors of these complexes are only marginally affected by spin polarization and other factors, such as choice of exchange-correlation functional or molecular structures, will have more pronounced impact on the accuracy of the results.

Degenerate Perturbation Theory for Electronic g Tensors: Leading-Order Relativistic Effects.

A new approach for the evaluation of the leading-order relativistic corrections to the electronic g tensors of molecules with a doublet ground state is presented. The methodology is based on degenerate perturbation theory and includes all relevant contributions to the g tensor shift up to order O(α(4)) originating from the one-electron part of the Breit-Pauli Hamiltonian-that is, it allows for the treatment of scalar relativistic, spin-orbit, and mixed corrections to the spin and orbital Zeeman effects. This approach has been implemented in the framework of spin-restricted density functional theory and is in the present paper, as a first illustration of the theory, applied to study relativistic effects on electronic g tensors of dihalogen anion radicals X2(-) (X = F, Cl, Br, I). The results indicate that the spin-orbit interaction is responsible for the large parallel component of the g tensor shift of Br2(-) and I2(-), and furthermore that both the leading-order scalar relativistic and spin-orbit corrections are of minor importance for the perpendicular component of the g tensor in these molecules since they effectively cancel each other. In addition to investigating the g tensors of dihalogen anion radicals, we also critically examine the importance of various relativistic corrections to the electronic g tensor of linear molecules with Σ-type ground states and present a two-state model suitable for an approximate estimation of the g tensor in such molecules.

Audibility threshold for high frequencies in children with medical history of multiples episodes of bilateral secretory otitis media.

UNLABELLED: Relatively poorer audibility threshold for high frequency was found in children with medical history of multiples episodes of secretory otitis media. AIM: to characterize the audibility threshold for high frequencies in normal-hearing children with medical history of multiples episodes of bilateral secretory otitis media. MATERIALS AND METHODS: a sample of 31 children, from both genders, was divided in two groups: 14 subjects who had not more than 3 episodes of bilateral secretory otitis media (Group 1) and 17 subjects that experienced at least 4 episodes of this condition (Group 2). Pure-tone air conduction audiometry was tested at frequencies 9,000 to 18,000 Hz. STUDY DESIGN: transversal prospective. RESULTS: there was no difference between audibility thresholds comparing right and left ears of subjects of both Group 1 and Group 2 in all tested frequencies. However, there was difference between audibility thresholds between subjects of Group 2 compared to Group 1 in all tested frequencies. CONCLUSION: 1- There was an increase in audibility thresholds with the increase in frequency . 2- High frequency audiometry separates subjects with history of at least four episodes of secretory otitis media, suggesting that these episodes are sufficient to promote statistically significant difference in high frequency thresholds.

[The use of the self-assessment questionnaire to evaluate hearing aid benefit]. / Utilização do questionário na auto-avaliação do benefício das próteses auditivas.

BACKGROUND: assessment of the subjective benefit brought by the use of the hearing aid. AIM: to determine the benefit brought by the use of the hearing aid through a subjective procedure. METHOD: the subjective benefit of the hearing aid was assessed in 15 hearing impaired individuals, novice hearing aid users, through the Abbreviated Profile of Hearing Aind Benefit (APHAB) self-assessment questionnaire, which was answered before and after the hearing aid fitting. RESULTS: the results demonstrated statistically significant differences between the conditions with and without the hearing aid, indicating a better performance with the use of amplification. CONCLUSION: this procedure demonstrated to be valuable for the assessment of the benefits brought by the process of hearing aid fitting.